# NP PROVISION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043726144
- **Authorized official:** MRS. TIMIKO L DREW NP-C (PROPRIETOR/NURSE PRACTITIONER)
- **Authorized official phone:** (313) 587-3087

## Contact information

- **Practice address:** 27177 LAHSER RD STE 201, SOUTHFIELD, MI 48034-8468
- **Practice address phone:** (248) 895-8562
- **Practice address fax:** (248) 286-6255
- **Mailing address:** 220 MAIN SAIL CT, DETROIT, MI 48207-5008
- **Mailing address phone:** (313) 587-3087
- **Mailing address fax:** (248) 286-6255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 4704177492 | MI | Yes |

## Other

- **Enumeration date:** 12/27/2017
- **Last updated:** 11/11/2022